Marie Bennardo, RN
Individual provider Active NPI Registered Nurse · West Islip, NY
NPI 1386989960 · NPPES record last updated Dec 7, 2012
Key facts
- NPI
- 1386989960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 338083 (NY)
- Practice address
- 473 Everdell Ave
West Islip, NY 11795-4221 - Phone
- (631) 893-8050
- NPI assigned
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338083 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 338083 | NY | Yes |
Addresses
Primary practice location
473 Everdell Ave
West Islip, NY 11795-4221
Mailing address
473 Everdell Ave
West Islip, NY 11795-4221
Phone (631) 893-8050
Other providers in West Islip, NY
- Brian Vincent Becker
- James Bedell
- Kimon Bekelis
- Alexandra Marie Bell
- John Bello
- Tracey Bennardo
- Alexandra Bergin
- Allison R Berman
- Lizandei June Bernardo
- Robert J Berson
All providers in West Islip, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.